Mary, 16 years old, has lost 40 lbs. for the past month. She was brough to the hospital by the mother for consultation. Diagnosis: Anorexia Nervosa.
71. The characteristic of anorexia nervosa include:
A. Loss of appetite, amenorrhea and weight loss
B. Self-inflicted weigth loss a distorted body image and amenorrhea
C. Episodes of binging and purging, use of laxatives and concern about body image
D. D. Self-induced vomiting, lack of control, overeating and intense fear of becoming fat
72. The intense need of an anorexic to control her weight gain usually is attributed to:
A. Sense of helplessness, feelings of abandonment and inadequacy
B. Failure in academic work
C. Lack of parental concern
D. Desire to be sexually attractive
73. A day after admission, Mary says to the nurse, "I feel fat, my arms are too bid." The relevant nursing diagnosis is:
A. Alteration in perception: body image
B. Alteration in perception: hopelessness
C. Alteration in perception: self esteem
D. Alteration in perception: powerlessness
74. The anorexic client differs from a bulimic client in one of the following factors:
A. Denies her eating patter is abnormal
B. Keeps her weight within normal range
C. Admits feeligs hungry oftentimes
D. Accepts that her eating pattern is abnormal
75. An appropriate nursing itnervention for an anorexic client:
A. Monitoring what, where and when Mary eats and her intake and output
B. Postering a positive self esteem, rewarding weight gain and setting limits on inappropriate behavior
C. Inserting a feeding tube each time Mary does not eat complet meal
D. Ignoring Mary's effort to manipulate the saff and setting limits on inappropriate behavior
